Anatomic and visual outcomes of 23-G vitrectomy without scleral buckling for primary rhegmatogenous retinal detachment

被引:12
作者
Figueroa, Marta S. [1 ,2 ]
Contreraso, Ines [1 ,3 ]
Noval, Susana [4 ]
机构
[1] Hosp Univ Ramon y Cajal, Inst Ramon y Cajal Invest Sanitaria, Dept Ophthalmol, Madrid 28034, Spain
[2] Vissum Madrid, Dept Ophthalmol, Madrid, Spain
[3] Clin Rementeria, Dept Ophthalmol, Madrid, Spain
[4] Hosp Univ La Paz, Inst Invest La Paz, Dept Ophthalmol, Madrid, Spain
关键词
23-G vitrectomy; Microincisional vitrectomy; Primary rhegmatogenous retinal detachment; Subretinal perfluoro-N-octane; Vitrectomy without buckling; PARS-PLANA VITRECTOMY; TRANSCONJUNCTIVAL SUTURELESS VITRECTOMY; SURGERY;
D O I
10.5301/ejo.5000234
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
PURPOSE. To evaluate the anatomic success rate, visual acuity (VA) changes, and complications of 23-G vitrectomy without associated scleral procedures for the treatment of primary rhegmatogenous retinal detachment (PRRD). METHODS. Patients diagnosed with PRRD were considered for inclusion. Patients with evidence of proliferative vitreoretinopathy or coexisting ocular pathologies were excluded. Surgery consisted of 23-G vitrectomy with endolaser photocoagulation of retinal breaks and fluid-air-gas (12% C3F8) exchange. Minimum follow-up was 3 months. RESULTS. A total of 133 eyes of 118 patients were included. Fifty eyes were phakic and 83 pseudophakic. Mean time from diagnosis to surgery was 6.9 days (range 1-40). Mean VA improved significantly from 20/50 (range: hand movements to 20/20) to 20/30 (range: counting fingers to 20/16), with no statistically significant differences between phakic and pseudophakic eyes (p = 0.233). Visual acuity improved to 20/40 or better in 104 eyes (78.2%). A redetachment developed in 5 eyes (3.8%), so the primary anatomic success rate was 96.2%. Four eyes required a second surgical procedure and one eye a third to achieve retinal reattachment. Cataract progression in phakic eyes made cataract surgery necessary within 1 year of vitrectomy in 12/50 (24%) eyes. Subretinal perfluoro-N-octane (PFO) was detected in 6 eyes (4.5%). CONCLUSION. Twenty-three-gauge vitrectomy without scleral buckling seems to be an effective technique for the treatment of PRRD without proliferative vitreoretinopathy. The high anatomic success rate was 'comparable to that previously described with 20 G and scleral buckling. Complications were similar to those described for 20-G vitrectomy, except for retained subretinal PFO, which has a higher rate.
引用
收藏
页码:417 / 422
页数:6
相关论文
共 17 条
  • [1] Comparative study of 23-gauge vitrectomy versus 20-gauge vitrectomy for the treatment of rhegmatogenous retinal detachment
    Albrieux, Magali
    Rouberol, Frederic
    Bernheim, Diane
    Romanet, Jean-Paul
    Chiquet, Christophe
    [J]. GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, 2011, 249 (10) : 1459 - 1468
  • [2] Figueroa M. S., 2010, Arch Soc Esp Oftalmol, V85, P59
  • [3] Risk factors for retention of subretinal perfluorocarbon liquid in vitreoretinal surgery
    Garcia-Valenzuela, E
    Ito, Y
    Abrams, GW
    [J]. RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES, 2004, 24 (05): : 746 - 752
  • [4] Scleral buckling versus primary vitrectomy in rhegmatogenous retinal detachment - A prospective randomized multicenter clinical study
    Heimann, Heinrich
    Bartz-Schmidt, Karl Ulrich
    Bornfeld, Norbert
    Weiss, Claudia
    Hilgers, Ralf-Dieter
    Foerster, Michael H.
    [J]. OPHTHALMOLOGY, 2007, 114 (12) : 2142 - 2154
  • [5] Sutureless microincision vitrectomy surgery: Unclear benefit, uncertain safety
    Lewis, Hilel
    [J]. AMERICAN JOURNAL OF OPHTHALMOLOGY, 2007, 144 (04) : 613 - 615
  • [6] Comparison of 20-, 23-, and 25-Gauge Pars Plana Vitrectomy in Pseudophakic Rhegmatogenous Retinal Detachment Repair
    Lewis, Shawn A.
    Miller, Daniel M.
    Riemann, Christopher D.
    Foster, Robert E.
    Petersen, Michael R.
    [J]. OPHTHALMIC SURGERY LASERS & IMAGING, 2011, 42 (02) : 107 - 113
  • [7] Pars plana vitrectomy, laser retinopexy, and aqueous tamponade for pseudophakic rhegmatogenous retinal detachment
    Martinez-Castillo, Vicente
    Zapata, Miguel A.
    Boixadera, Anna
    Fonollosa, Alex
    Garcia-Arumi, Jose
    [J]. OPHTHALMOLOGY, 2007, 114 (02) : 297 - 302
  • [8] The epidemiology of rhegmatogenous retinal detachment: geographical variation and clinical associations
    Mitry, D.
    Charteris, D. G.
    Fleck, B. W.
    Campbell, H.
    Singh, J.
    [J]. BRITISH JOURNAL OF OPHTHALMOLOGY, 2010, 94 (06) : 678 - 684
  • [9] Short-Term Outcome of Bimanual 23-Gauge Transconjunctival Sutureless Vitrectomy for Patients With Complicated Vitreoretinopathies
    Park, Kyu Hyung
    Woo, Se Joon
    Hwang, Jeong-Min
    Kim, Jeong Hun
    Yu, Young Suk
    Chung, Hum
    [J]. OPHTHALMIC SURGERY LASERS & IMAGING, 2010, 41 (02) : 207 - 214
  • [10] POSTOPERATIVE COMPLICATIONS AND INTRAOCULAR PRESSURE IN 943 CONSECUTIVE CASES OF 23-GAUGE TRANSCONJUNCTIVAL PARS PLANA VITRECTOMY WITH 1-YEAR FOLLOW-UP
    Parolini, Barbara
    Prigione, Guido
    Romanelli, Federica
    Cereda, Matteo G.
    Sartore, Mauro
    Pertile, Grazia
    [J]. RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES, 2010, 30 (01): : 107 - 111